NPIMap

Organization Active NPI

Willowbrook Acquisition Company, LLC

Doing business as Willowbrook Manor

  • Skilled Nursing Facility
  • Flint, MI
National Provider Identifier
1437156437
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
WILLOWBROOK ACQUISITION COMPANY, LLC
Doing business as
Willowbrook Manor
Practice address
4436 Beecher Rd
Flint, MI 48532-2609
Phone
(810) 733-0290
Fax
(810) 733-6463
NPI assigned
Jul 5, 2005
Organization subpart
Yes
Parent organization
CIENA HEALTHCARE MANAGEMENT, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mohammad Ashraf Qazi
Title
Ceo
Phone
(248) 386-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

4436 Beecher Rd
Flint, MI 48532-2609

Mailing address

4436 Beecher Rd
Flint, MI 48532-2609
Phone (810) 733-0290

Other identifiers 2

IdentifierTypeStateIssuer
09816OtherMIBCBSM
4499934MedicaidMI

Other names 1

  • Willowbrook Manor Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Ability Network Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030312000006 MI Part A Provider - Skilled Nursing Facility 3678482981 Practice locations: Flint, MI

Skilled nursing facility certification: CCN 235550

Legal name
WILLOWBROOK ACQUISITION COMPANY, LLC
Doing business as
WILLOWBROOK MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF distinct part
Participating since
Apr 14, 1994
Last certification
Jun 4, 2024
Beds
130
Ownership / control type
Corporation
Multi-facility organization
Ciena Healthcare Management
Organization structure
LLCProprietary
Incorporated
Aug 15, 2002 in MI
Enrollment address
4436 Beecher Rd
Flint, MI 48532-2609
Nursing home name
WILLOWBROOK MANOR
Affiliated entity
CIENA HEALTHCARE/LAUREL HEALTH CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Willowbrook ManorCCN 235550 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 14, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
130110.3 residents per day on average
Chain
Ciena Healthcare/Laurel Health Care81 facilities in the chain
Penalties (3 years)
3Fines totaling $89,021

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ciena Healthcare Management Inc Organization, Southfield, MI Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Dec 1, 2002
Adp of the SNF Mar 21, 2025
Organization, Glenview, IL LLC, Non-profit Adp of the SNF Mar 21, 2025
Anis Khan Individual Operational/Managerial Control Dec 1, 2002
Managing Control - Governing BodyManager Dec 1, 2002
Adp of the SNF Dec 1, 2002
Rebecca Pedrotti Individual Operational/Managerial Control Aug 10, 2020
Adp of the SNF Aug 10, 2020
Individual Adp of the SNF Dec 1, 2024
Individual Adp of the SNF Jan 17, 2022
Mohammad a. Qazi Individual 5% Or Greater Indirect Ownership InterestManager Dec 1, 2002 100%
Operational/Managerial Control Dec 1, 2002
Managing Control - Governing BodyManager Dec 1, 2002
Adp of the SNF Dec 1, 2002
Neal H Deutsch Individual Adp of the SNF Jan 23, 2025
Individual Adp of the SNF Jan 3, 2003
Mohammad a Qazi Living Trust Dated 09/26/97 Organization, West Bloomfield, MI Owned by another organization or individual 5% Or Greater Direct Ownership Interest Dec 1, 2002 100%
Adp of the SNF Dec 1, 2002
Melvin Cherry Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Anna Gardina Individual Adp of the SNF Jan 23, 2025
Organization, Southfield, MI For-profit Adp of the SNF Dec 1, 2002
Individual Adp of the SNF Mar 1, 2022
Organization, Taylor, MI LLC, For-profit Adp of the SNF Mar 21, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 76

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 76

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1437156437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4436 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322609",
            "telephone_number": "810-733-0290",
            "fax_number": "810-733-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4436 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322609",
            "telephone_number": "810-733-0290",
            "fax_number": "810-733-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOWBROOK ACQUISITION COMPANY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIENA HEALTHCARE MANAGEMENT, INC",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "QAZI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ASHRAF",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-386-0300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "09816",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4499934",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "affiliationName": "Ability Network Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD Emdr",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Willowbrook Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.